<%-- 
    Document   : registraRecetaMedica
    Created on : 4/02/2014, 07:16:18 PM
    Author     : YONATHAN
--%>



<%@ page language="java" contentType="text/html; charset=ISO-8859-1"
    pageEncoding="ISO-8859-1"%>
    
<%@ taglib uri="/struts-tags" prefix="s" %>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html>
<head>
	<meta charset="UTF-8">
	<title>Contact - Cardiology Website Template</title>
	<link rel="stylesheet" href="css/style.css" type="text/css">
	<!--[if IE 7]>
		<link rel="stylesheet" href="css/ie7.css" type="text/css">
	<![endif]-->
</head>
<body>
	<div id="header">
		<div>
			<div>
				<span>A healthy heart means a healthy life...</span>
				<a href="index.html" class="logo"><img src="images/logo.png" alt=""></a>
				<span class="tagline">Experience life to the fullest.</span>
			</div>
			<ul>
				<li>
					<a href="index.html">home</a>
				</li>
				<li>
					<a href="about.html">about</a>
				</li>
				<li>
					<a href="doctors.html">our doctors</a>
				</li>
				<li>
					<a href="registrarInfDiario.jsp">services</a>
				</li>
				<li>
					<a href="forms.html">forms</a>
				</li>
				<li class="selected">
					<a href="contact.html">contact</a>
				</li>
				<li>
					<a href="blog.html">blog</a>
				</li>
			</ul>
		</div>
	</div>
	<div id="body">
		<div class="content">
			<div id="section" style="width: 820px; ">
				<h2>Paciente</h2>
				 <p> Buscar Paciente: 
  				<input type="text" id="buscar" /> <input class="btn" type="submit" value="Buscar paciente" /> 
  				  <p style="height: 30px; ">   				  
  				  </p> 
		<form action="registroRecetaMedica" style="width: 568px; ">
<fieldset style="width: 415px; ">
  <legend>Datos del Paciente</legend>
  
 
  <label for="nombre">Nombre</label>
  <input type="text" id="nombre" />
 
  <label for="apellidos">Apellidos</label>
  <input type="text" id="apellidos" size="50" />
 
  <label for="dni">Edad</label>
  <input type="text" id="dni" size="10" maxlength="9" />
 
  <label for="contrasena">Enfermedad</label>
  <input type="text" id="contrasena" /> 
 
  
</fieldset>
<p>

</p>
<fieldset style="width: 415px; ">
  <legend>Informe diario del paciente</legend>
  
 
  <label for="fecha">Fecha de ingreso</label>
  <input type="text" id="fecha" />
  <textarea name="textarea" rows="10" cols="50" style="width: 446px; "></textarea>
 
  
</fieldset>

<p><input class="btn" type="submit" value="RegistroInf" />
<input class="btn" type="submit" value="Limpiar" />
 </p> 
</form>
			</div></div>
	</div>
	<div id="footer">
		<div>
			<p>
				Copyright &copy; <a href="index.html">Cardio Center</a>
			</p>
			<ul>
				<li>
					<a href="index.html">home</a>
				</li>
				<li>
					<a href="about.html">about</a>
				</li>
				<li>
					<a href="doctors.html">our doctors</a>
				</li>
				<li>
					<a href="services.html">services</a>
				</li>
				<li>
					<a href="forms.html">forms</a>
				</li>
				<li>
					<a href="contact.html">contact</a>
				</li>
				<li>
					<a href="blog.html">blog</a>
				</li>
			</ul>
			<div>
				<span>stay connected:</span>
				<a href="http://freewebsitetemplates.com/go/facebook/" id="facebook">facebook</a>
				<a href="http://freewebsitetemplates.com/go/twitter/" id="twitter">twitter</a>
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